Brookdale Southpointe Drive

LBN: Emeritus Corporation
Brookdale Southpointe Drive is an health care organization with primary practice located at 23 Southpointe Dr , Greenville SC 29607-5956. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Emeritus Corporation can be contacted via phone (864) 675-0220, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
23 Southpointe Dr Greenville SC 29607-5956
Phone: (864) 675-0220
Fax: (864) 284-9936
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CRC-1335 South Carolina

Profile Details

NPI number 1619192465
LBN Legal business name Emeritus Corporation
DBA Doing business as Brookdale Southpointe Drive
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated May 17th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619192465 NPPES
South Carolina MEDICAID RC1335

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